Healthcare Provider Details

I. General information

NPI: 1093869596
Provider Name (Legal Business Name): BENI ADEGOKE ADENIJI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 04/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 BEVERLY BLVD SUITE 160 WEST
WEST HOLLYWOOD CA
90048-1804
US

IV. Provider business mailing address

8700 W. BEVERLY BLVD CEDARS-SINAI MEDICAL CENTER
LOS ANGELES CA
90048
US

V. Phone/Fax

Practice location:
  • Phone: 310-423-0895
  • Fax: 310-423-0140
Mailing address:
  • Phone: 310-423-0895
  • Fax: 310-423-1040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA69154
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: